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September 16, 2015Health Education & BehaviorOpen Access

Cancer Fatalism, Literacy, and Cancer Information Seeking in the American Public

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Authors

LKLindsay C. KobayashiSSSamuel G. Smith

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Overview

Cross-sectional survey reveals fatalistic beliefs mediate reduced cancer information seeking among adults with low health literacy, suggesting targeted communication is needed.

Key Points

  • To examine how health literacy and cancer fatalism relate to cancer information-seeking behavior and evaluate whether fatalistic beliefs mediate this association.
  • Analyzed cross-sectional data from Cycle 3 of the population-representative Health Information and National Trends Survey (HINTS 4; n = 2,657).
  • Assessed health literacy, cancer fatalistic beliefs, and lifetime cancer information seeking using self-reported survey items.
  • Performed multivariable logistic regression and mediation modeling adjusted for sociodemographic factors and family cancer history.
  • Participants with limited health literacy were significantly less likely to have ever sought cancer information (OR = 0.63; 95% CI, 0.42–0.95).
  • Limited health literacy was significantly associated with higher fatalistic belief that one cannot lower their cancer risk (OR = 1.61; 95% CI, 1.05–2.47).
  • The fatalistic belief that little can be done to lower cancer risk partially mediated the link between low health literacy and information seeking, accounting for 14% of the effect.

Cite This Study

Kobayashi et al. (2015) studied this question.

synapsesocial.com/papers/6aa26d6e395a42d3a7fdc873https://doi.org/10.1177/1090198115604616
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Also Consider

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  4. 4Psychologic Predictors of Cancer Information Avoidance among Older Adults: The Role of Cancer Fear and Fatalism2008 · 184 citations